Individual
MATTHEW L STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
205 S WALNUT ST, BLOOMINGTON, IN 47404-6128
(812) 360-4847
Mailing address
645 SAMS HILL RD, NASHVILLE, IN 47448-9685
(812) 360-4847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99123673A
IN
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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